The Benefits Support Specialist - Independently manages benefit administration activities, including provider outreach, claim support processes, documentation review, and workflow management. This role handles more complex scenarios, supports process improvement efforts, and serves as a resource for less experienced team members.
Key Responsibilities
- Process complex benefit administration activities with minimal supervision
- Review claim documentation and determine appropriate next steps
- Contact providers and other stakeholders to obtain required information
- Manage follow-up activities and resolve outstanding requests
- Ensure compliance with quality, productivity, and service-level standards
- Identify and resolve processing exceptions
- Maintain accurate and complete documentation
- Support multiple product lines and workflows
- Assist with training, coaching, and knowledge sharing
- Escalate issues or exceptions to leadership when needed
- Recommend process improvements and efficiency opportunities
Required Skills
- Prior experience in International Voice process.
- Excellent communication skills.
- Experience in US Insurance (Health, Life, Benefits Administration) or US Healthcare Operations will be an added advantage.
- Freshers with Excellent Communication Skills can also apply
- Good attention to detail
- Ability to follow documented procedures
- Ability to manage multiple tasks and priorities
- Willingness to learn new systems and processes
Education
- Minimum Plus Two is Required
- Work from Office
- US Rotational Night Shifts
- 5-Day Work Week with Rotational Week-Offs
- Cab Facility Available within a 25 km Radius
- Immediate Joiners Preferred